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  • Strerilization Consent Form

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STERILIZATION CONSENT FORM NOTICE: YOUR DECISION AT ANY TIME NOT TO BE STERILIZED WILL NOT RESULT IN THE WITHDRAWAL OR WITHHOLDING OF ANY BENEFITS PROVIDED BY PROGRAMS OR PROJECTS RECEIVING FEDERAL.

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Related content

Consent for Sterilization - Maryland Medicaid
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Related links form

WA Form 3000-110-196 2015 CA BBS 37A-610B 2021 GA GID-CS-CF-1 2019 CA BBS 37A-610B 2011

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The board certified OB/GYNs at Birmingham Obstetrics & Gynecology provide minimally invasive hysterectomy procedures. Call our women's health clinic in Birmingham at (205) 933-8334 to schedule your appointment today!

You can have a tubal ligation at any time. If you are interested in getting a tubal ligation, talk with your doctor or clinic. For Medicaid or other federal programs to pay for a tubal ligation, you must be 21 years of age and have signed a consent form giving permission 30 days before the procedure.

A completed PM 330 Sterilization Consent Form must accompany all claims directly related to the sterilization surgery. This requirement extends to all providers, attending physicians, surgeons, assistant surgeons, anesthesiologists and facilities.

At least 21 years old at the time the Consent for Sterilization form is signed. Voluntarily sign the Consent for Sterilization (PDF) form (MHCP will not accept a consent form signed by a guardian, conservator or anyone other than the person to be sterilized.)

Medical devices are sterilized in a variety of ways including using moist heat (steam), dry heat, radiation, ethylene oxide gas, vaporized hydrogen peroxide, and other sterilization methods (for example, chlorine dioxide gas, vaporized peracetic acid, and nitrogen dioxide).

On MDsave, the cost of a Tubal Ligation (sterilization) - Laparoscopic in Alabama ranges from $7,955 to $8,535.

You can have your tubes tied at any time in your life. For Medicaid to pay for the opera- tion, you must be at least 21 years of age. You can have your tubes tied even if you are married or if you do not have children.

There is no legal age requirement for getting your tubes tied in the United States. There may, however, be restrictions on who will pay for the procedure, especially if you're on Medicaid or have health insurance through another federally funded program. There are also variations about consent in state law.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232